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🫘 CKD Staging & Referral (KDIGO)

KDIGO heat-map risk stratification (eGFR stage × albuminuria stage), follow-up frequency and nephrology referral advice for CKD. Instant, browser-side.

CKD Staging & Referral (KDIGO)

eGFR (mL/min/1.73m²)
Urine albumin/creatinine ratio (ACR) (mg/g)

When to use

Stage CKD and decide on follow-up intensity and referral; the diagnosis requires abnormalities to persist ≥ 3 months.

How it works

eGFR stages G1–G5 × albuminuria A1 (< 30), A2 (30–300), A3 (> 300 mg/g) → low/moderate/high/very-high risk per the KDIGO grid.

Key points

  • Refer to nephrology for eGFR < 30, A3 albuminuria or very-high risk.
  • Also refer for rapidly falling eGFR, resistant hypertension or unexplained anaemia.
  • CKD requires abnormalities to persist ≥ 3 months.
  • G1–G2 with A1 needs another marker of kidney damage to diagnose CKD.

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

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